Laserfiche WebLink
PERMRI'EE NAME/A!)pRESS p..crit FwybryN~+/L«rtae 1/Ddinwr/ <br />NAME <br />• O. BOX 1B7 <br />IG CO <br />FACIIIT' !'PER MINE <br />LocATION IG CO <br />i I"If1Nn ['~ T?l 1 R(l T F. PR F~ <br />NATIONAL POLLUTANT dSCNMOE ELIMINATION SYSTEM (/V~f$/ <br />DISCHARGE MONITORING REPORT /O R/ <br />PERMIT NUMBER dscHMOE NUMEiEr1 <br />- ~ - MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />g 1,_-. %~ 5 FROM - TO <br />GM <br />Form Approved. <br />OMB No 2040-000, <br />MINOR <br />(SUBR JC> <br />F - FINAL MOFA7 <br />POND #~? TO FAST PYEATT GULCH <br /># ;, ~ : =t <br />NOTE: Road k-~tructloM b~lore compi~tlnp thh Iwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FltEOVENCV <br />of SAMPLE <br /> EX TYPE <br /> ANAtYSts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~ ;. ;:_ r. ~- <br />' ~ <br />~ -„ . ~ ;r-~-~ a t ,.. <br />~ r -; - <br /> MEASUREMENT ; <br />~ / <br />iJ PERMIT -1t####3F RFPG'RT .0.#~~: .. ...:~##~> .: ~ aiiiEit• i~: -;~ fE[:(•~.~ I~•l!r; <br />R OE: REQUIREMENT I NST MA t' " ~ #': <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t `° 'tr' of ~`"' tr ° t.w lha tAM d"r°mrnl .nd.lt .tlKhmtnh wrn ~ TELEPHONE <br />sttm dd <br />dtrertMn a fu <br />enfyoa In .r[ord.tre wlth . t <br />ned <br />d <br />wd <br />.n DATE <br />P <br />r <br />~ <br />j <br />prep.n <br />r <br />er <br />r <br />- <br />- <br />~ 1 1° tm.n thN quNleed personnel Pe°PeA~ ether .nd e•.N.te the Inrortn.tlon <br />l..ed on .ny tn <br />utrr er the Pena. oe penan whp tn.nge IM ryftetn <br />~ ' C ~ ~ -~~ / ~Z~--- <br />~' ~ ~ wbmined <br />~ <br />( ~ / <br />q <br />, <br />. <br />Y <br />/. ; ~~ <br />t <br />enar. elr.cn~ re.padble r.e t.therl"t u+e tnroem.uow <br />the tnmrnrt4.n ~ ~ i :_ . <br />a throe <br />; / . <br />' <br />j <br />' <br />. <br />~ <br />,y .. <br />~',; / twMdned b, b the bet nr m~ Yno~kdte .nd beNer, tne, tKavnle..nd cwnpkle. ~ .~' ~ <br />t1aNATl1RE Of MINCIrAL EXECUTIVE <br />~' ~ " ' ~ r <br />~~' <br /> 1 ..n....n a.t tner..n.t~dnc,nt Penune rw,Ybnrtnn= r.-. tnrornruon, <br />TYPED ~ PRINTED lnehMlM the poermay or nne.nd tw.prl.ontnent ror tt,owt"i eld.uaa OFFFCER OA AVTNORIZED AOEKT COpE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS ~RIfN1/IC• dV •rtxhm~nt: h•r•/ <br />. - _ .. ~:~ ABLE SC?L-IDS LIMIT APPLIED FOR C=1QYR, 24HR PF.F.CIP EVENT- <br />_ _ ~ r':.: :.. : D5 r1f2 I NG - I B ~ D I L & GR EA~~ E~ - ~~EI: ~. -. ~. <br />~ L ~ ~ Imo' i~~il f-fl Y AiJi=RG,i•F C'il~F2 i NC~ PFFz ~ Pf1PTFII <br />EPA Form 3320.1 (Rev. 3/98) Previous editions maybe used. ~l (? s_ : _. -7 /ri>a~)~4-R~fQTm. PAGE ~Of <br />